Healthcare Provider Details

I. General information

NPI: 1750843702
Provider Name (Legal Business Name): XIAWEI ZHONG D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILY ZHONG D.O.

II. Dates (important events)

Enumeration Date: 04/01/2019
Last Update Date: 12/19/2023
Certification Date: 12/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7975 LAKE UNDERHILL RD STE 200
ORLANDO FL
32822-8204
US

IV. Provider business mailing address

7975 LAKE UNDERHILL ROAD SUITE 210
ORLANDO FL
32822
US

V. Phone/Fax

Practice location:
  • Phone: 407-303-6830
  • Fax: 407-303-6839
Mailing address:
  • Phone: 407-303-8683
  • Fax: 407-303-8659

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License NumberOS17284
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: